RESUMO
Las causas de mortalidad materna en Latino América y el Caribe estan lideradas por los trastornos hipertensivos del embarazo, en donde una de cada 4 muertes maternas es por esta patología. En términos generales podemos discutir 5 grandes razones para explicar nuestras altas tasas de muerte materna...
Assuntos
Humanos , Hipertensão/complicações , Hipertensão/diagnóstico , Hipertensão/prevenção & controle , Pré-Eclâmpsia/diagnóstico , Pré-Eclâmpsia/mortalidade , Pré-Eclâmpsia/prevenção & controleRESUMO
OBJECTIVE: To document the use of active management of the third stage of labour for preventing postpartum haemorrhage and to explore factors associated with such use in seven developing countries. METHODS: Nationally representative samples of facility-based deliveries were selected and observed to determine the use of active management of the third stage of labour and associated factors. Policies on active management were assessed through document review and interviews with relevant professionals. FINDINGS: Use of a uterotonic during the third or fourth stages of labour was nearly universal. Correct use of active management of the third stage of labour was found in only 0.5% to 32% of observed deliveries due to multiple deficiencies in practice. In every country except Indonesia, policies regarding active management were conflicting. CONCLUSION: Developing countries have not targeted decreasing postpartum haemorrhage as an achievable goal; there is little use of active management of the third stage of labour, and policies regarding such management often conflict. Studies are needed to identify the most effective components of active management so that the most efficient package of practices can be promoted.
Assuntos
Parto Obstétrico/métodos , Países em Desenvolvimento , Terceira Fase do Trabalho de Parto , Hemorragia Pós-Parto/prevenção & controle , Adulto , Parto Obstétrico/enfermagem , Feminino , Humanos , Entrevistas como Assunto , Observação , Política Organizacional , Gravidez , Complicações na Gravidez/mortalidade , Adulto JovemRESUMO
El estudio de la mortalidad materna ha sido el objetivo principal para la evaluación y monitoreo de las unidades responsables de ofrecer atención materna. Los eventos de pacientes obstétricas casi-muertas se han definido como mujeres embarazadas con una condición que complicó la gestación y que pudo haber culminado en una muerte materna. El término casi-muerta (near-miss) fue utilizado por primera vez en 1991 por Stones.